©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
Nurs 3000 Final burt Exam Questions With
Verified Answers.
Nursing Interventions for various sensory impairments - answer✔increase stimuli/meaning,
explain care; decrease stimuli, visit more, orient; place tv, radio, calender or clock in room;
familiar objects, touch, elevate HOB, open door, assist OOB, amb.
Normal Sensory Process components - answer✔reception (nerve cell stim), perception (person
becomes aware of stimuli), reaction (action taken)
visceral sensory - answer✔stimuli that makes you aware of an organ, like a full stomach
kinesthetic sensory - answer✔awareness of position and mvmt of body parts
vibratory sensory - answer✔awareness of vibrations, using tuning fork
stereognosis sensory - answer✔ability to perceive and understand object using touch
How to assess and accurately document LOC & Orientation - answer✔alert and oriented x3.
name DOB location time
Pts at high risk for various sensory disturbance - answer✔risk for injury; impaired home
maintenance; risk for impaired skin integrity; impaired verbal communication; social isolation
Sensory Deprivation (definitions; s/s; causes) - answer✔-decrease or lack of meaningful stimuli
-excessive yawing, drowsiness, increased amt of sleeping, decreased attention span, impaired
memory, disorientation, nocturnal confusion, delusions, crying, apathy, depression
-restricting environment, decreased input from impaired senses, meaningless stimuli
sensory overload def/s+s/causes - answer✔- person unable to process/manage the amt or
intensity of sensory stimuli
- fatigue, irritability, anxiety, disorientation, muscle tension
- too much stimuli, meaningless stimuli, repetitious/unchanging stimuli
, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM
ns interventions for sensory deprivation - answer✔increase stimuli/meanings; explain care; visit
more; place TV, radio, clock or calender in room; familiar objects; touch more; elevate HOB
ns interventions for sensory overload - answer✔decrease stimuli, interruptions; organize care
efficiently; close door, turn off tv; decrease odors, noise levels; restrict visitors/calls; provide
comfort
Problem statements r/t Disruptions in meeting Sensory Needs - answer✔acute confusion. chronic
confusion, impaired memory
How to assist pts who are dealing with sexuality issues post MI & in other health-related
situations - answer✔risk for fear following heart surgery for alterations in heart function; suggest
when to resume activity and helpful positions
gender role - answer✔the outward behaviors, attitudes, and traits that a culture deems masculine
or feminine, also what is perceived as "gender appropriate"
gender identity - answer✔inner self image . develops over time.
sexual orientation - answer✔a preference for sexual partners of whatever gender
gender dysphoria - answer✔the condition of feeling one's emotional and psychological identity
as male or female to be opposite to one's biological sex.
Strategies for effective assessment of pts' needs r/t areas of sexuality & love & belonging -
answer✔self-knowledge/comfort c sexuality; accept sexuality as important area for nsg.
intervention; work c clients; knowledge base of sexuality; communication skills; teaching
WHO definition of being sexually healthy - answer✔a state of physical, mental and social well-
being r/t sexuality; requires not merely the absence of dz, dysfunction or infirmity
Nursing actions if a pt behaves in a sexually inappropriate way toward the nurse -
answer✔communicate behavior isn't acceptable; set firm limits; refocus pt.; report to charge
nurse; clarify consequence. ur allowed to change ns
climacteric - answer✔midlife transition in which fertility declines. menopause, different in
genders
vaginismus - answer✔recurring involuntary muscle spasms in the outer third of the vagina ,,
makes sex painful
impotence - answer✔erectile dysfunction
